Radiation exposure in endovascular procedures. J Vasc Surg 2011 Jan;53(1 Suppl):35S-38S
Date
09/18/2010Pubmed ID
20846817DOI
10.1016/j.jvs.2010.05.141Scopus ID
2-s2.0-78650576497 (requires institutional sign-in at Scopus site) 48 CitationsAbstract
BACKGROUND: The introduction of percutaneous techniques to treat patients with peripheral vascular disease has placed the vascular surgeon in the unique role as the fluoroscopy supervisor overseeing the radiation protection for patient, self, staff, and trainee. Since radiation is an invisible threat in endovascular interventions, attention to protection may be challenging for the surgeon to understand and enforce.
METHODS: General endovascular radiation considerations for endovascular aneurysm repair (EVAR) and peripheral interventions are reviewed.
RESULTS: Peripheral atherectomy has the highest estimated skin doses of all endovascular procedures. Renal interventions, visceral balloon angioplasty and stenting, and embolization procedures are some of the procedures that have the highest peak skin doses. Patients with high body mass index (BMI) have been found to have up to three times higher peak skin doses than patients with normal BMI.
CONCLUSION: The degree of radiation exposure is dependent on the type of endovascular procedure, the patient's body habitus, and also the safety habits of the surgeon. Radiation exposure needs addressed in an informed consent process as is required for other procedures. Radiation exposure risks also need monitoring just as a surgeon monitors individual morbidity and mortality.
Author List
Ketteler ER, Brown KRAuthor
Kellie R. Brown MD Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Endovascular ProceduresFluoroscopy
Health Personnel
Humans
Occupational Exposure
Radiation Dosage
Radiation Injuries
Radiation Protection
Radiography, Interventional
Radiometry
Skin
